Provider Demographics
NPI:1932158144
Name:RHEINGOLD, LAURENCE MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:MICHAEL
Last Name:RHEINGOLD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:180 CABOT ST
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-2818
Mailing Address - Country:US
Mailing Address - Phone:617-739-5506
Mailing Address - Fax:617-739-5507
Practice Address - Street 1:6 MAIN ST
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3112
Practice Address - Country:US
Practice Address - Phone:508-775-7333
Practice Address - Fax:508-775-4774
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA316852086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery